Revenue Cycle Specialist

Revenue Cycle Specialist Health Care Medical Infusion Specialties - 3.0 Ridgeland, MS Job Details Full-time 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Qualifications Revenue cycle management High school diploma or GED Insurance medical billing Patient billing Medical billing account reconciliation Patient collections management Full Job Description Position Summary The Revenue Cycle Specialist is responsible for managing and improving the financial processes related to patient accounts, billing, insurance claims, payment posting, and collections. This role ensures accurate and timely reimbursement while maintaining compliance with healthcare regulations and organizational policies. The Revenue Cycle Specialist works collaboratively with patients, insurance providers, and internal departments to resolve billing issues and optimize revenue cycle performance. Essential Duties and Responsibilities Review and process patient accounts accurately and efficiently Submit insurance claims electronically and follow up on unpaid or denied claims Verify insurance eligibility, benefits, and authorization requirements Post payments, adjustments, and denials into billing systems Investigate and resolve billing discrepancies and claim rejections Communicate with insurance companies regarding claim status and appeals Maintain confidentiality and compliance with HIPAA regulations Monitor accounts receivable aging reports and prioritize collection efforts Document all account activity thoroughly and accurately Collaborate with billing team to improve billing accuracy and workflow efficiency Stay informed on payer guidelines, coding updates, and healthcare billing regulations Qualifications High school diploma or GED required; associate or bachelor's degree preferred Minimum of 2-3 years of experience in medical billing, healthcare finance, or revenue cycle operations required Knowledge of insurance claims processing, coding basics, and reimbursement methodologies Experience with electronic medical records (EMR) and billing software Strong attention to detail and organizational skills Excellent verbal and written communication skills Ability to manage multiple tasks and meet deadlines in a fast-paced environment Preferred Skills Experience with Medicare and HMO insurance payers Knowledge of denial management and appeals processes Understanding of healthcare compliance standards and billing regulations Customer service and problem-solving abilities

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person